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Organization
KLS CARE CENTERS
Active
Organization
KLS CARE CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EWANE MASANGO (OWNER)
(405) 922-1257
Entity
Organization
Contact information
Practice address
17364 STATE HIGHWAY 9, NORMAN, OK 73072-8732
(405) 922-1257
Mailing address
17364 STATE HIGHWAY 9, NORMAN, OK 73072-8732
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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